Tympanostomy & Myringotomy Tube Placement
Bilateral tympanostomy with myringotomy tube placement. The patient is a 1-year-old male with a history of chronic otitis media with effusion and conductive hearing loss refractory to outpatient medical therapy.
URI & Eustachian Congestion
Viral upper respiratory infection (URI) with sinus and eustachian congestion. Patient is a 14-year-old white female who presents with her mother complaining of a four-day history of cold symptoms consisting of nasal congestion and left ear pain.
Prematurity – Discharge Summary
Prematurity, 34 weeks' gestation, now 5 days old, group B streptococcus exposure, but no sepsis, physiologic jaundice, and feeding problem.
Goldenhar Syndrome – Discharge Summary
Gastroenteritis versus bowel obstruction, gastroesophageal reflux, Goldenhar syndrome, and anemia, probably iron deficiency.
Normal Newborn H&P Template
Template for History and Physical for a newborn.
Circumcision – Child
Circumcision. The child appeared to tolerate the procedure well. Care instructions were given to the parents.
